Film Screening Partnership Request
Email address *
Name:
Name of your Organization
Type of organization
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Organization Website
Tell us about your Screening
What format would you like to receive the film?
Screening Venue
Street Address:
Postal Code / Zip Code
City
Province/State
Country
What date would you like to screen the film?
MM
/
DD
/
YYYY
Will this be a ticketed event or a free screening?
Clear selection
Estimated Attendance
Clear selection
Are you interested in:
Anything else you wish to tell us?
A copy of your responses will be emailed to the address you provided.
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